Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Center for Individualized Medicine and Age Management, Inc

Organization Family Medicine Physician · NPI 1447689203

Center for Individualized Medicine and Age Management, Inc is a Family Medicine Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4463
Phone: (407) 273-7399
Fax: (407) 273-1928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME55637 (FL)

Record details

NPI number1447689203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mildred Donis-Rivera — Osner/President · (407) 273-7399
Other names Cima
NPI enumeratedNovember 2, 2013
Last updated in NPPESNovember 2, 2013
Mailing address11616 Lake Underhill Rd, Ste 205, Orlando, FL 32825-4463

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